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<br />I I <br /> <br />813-780.0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Addres <br /> <br />Fee Simple Title older Namel <br /> <br />V'\ <br /> <br />Fee Simple Title <br /> <br />'I <br />: 3g3<\'1 <br /> <br />JOB ADDRESS <br /> <br />SUBDiVISION <br /> <br />WORK PROPOS <br /> <br /> <br />B <br />D <br />D <br />I 8~ <br /> <br />DEMOliSH <br /> <br />PROPOSED USE <br />TYPE OF CONST <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />DESCRIPTION 0 WORK <br /> <br />~UILDING SIZE <br /> <br />HEIGHT I <br /> <br />D BUILDI G 1$ q 00 I <br /> ~ .d-ID. <br />D ELECT ICAL 1$ I <br />0 PLUMB NG 1$ I <br />D 1$ I <br />0 GAS ~ ROOFING D <br /> ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />.D <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />. Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sl;lts of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submlltal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />.."PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out appllca on completely. <br />Owner & Con actor sign back of application, notarized <br />if over $2500, a Notice of Commencement 15 required. (AlC upgrades over $5000) <br /> <br />.., Agent (for the ntractor) or Power of Attorney (for the owner) woul(j be someone with notarized letter from owner authorizing saRl!il <br /> <br />OVER THE COUN ER PERMITTING (Front of Application Only) <br />. Reroofs Sewers Service Upgrades AlC Driveways Fences (PlotlSurvey/Footag <br /> <br />